Suppuration of puerperal injuries
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Description:
In a puerperal period can observe infection of an operational wound after Cesarean section and its suppuration.
At emergence in labor of a birth trauma or a surgical episiotomy with further sewing up of edges of damages and wounds perhaps also infection of a seam of a crotch and suppuration of an operational wound.
After imposing at the time of delivery of seams on operational wounds in connection with defects of the surgical equipment, and also owing to infection of a wound are possible discrepancy of seams of operational wounds after Cesarean section, discrepancy of seams of a crotch after sewing up of its gap, discrepancy of seams after an epiziotomiya, sometimes there is a secondary rupture of a crotch.
If after sewing up of surgical wounds and ruptures of pelvic bodies the hemostasis insufficient, in the field of an obstetric and gynecologic wound forms a hematoma which can suppurate, in turn.
After discrepancy of seams of surgical wounds and their suppuration the secondary outside and internal bleedings extremely dangerous to the given rise woman can develop.
Repeated vaginal examonations without strict observance of rules of an asepsis and antiseptics at the time of delivery, other obstetric and surgical manipulations on women's generative and uric organs, after the delivery can lead weakening of the woman to development of pyoinflammatory processes in urinogenital bodies and bodies of a basin. Puerperal endometritis, uretrita, cystitis are frequent. Carry puerperal pelvic peritonitis and sepsis to the heavy complications leading women to a lethal outcome.
If after the birth of an afterbirth inspection of a cavity of the uterus is not made, the afterbirth is insufficiently investigated, the possibility of formation of such puerperal complication as a placental polyp is not excluded.
The placental polyp is formed in a uterus endometria on site of the afterbirth elements which were late in it, represents the fibrinous masses and decidual fabric of basal department with the site of fleecy chorion fixed in it (Khmelnytsky O. K., 1994).
Vorsina in a polyp are mostly deprived of an epithelium, avascular or with the fallen-down vessels. The placental polyp that in connection with growth in it fibrous fabric in a uterus there is a connective tissue platform interfering puerperal involution of a uterus, supporting an inflammation in a wall of a uterus and being the reason of secondary puerperal bleedings is dangerous.
